Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report
Various strains can be found in emphysematous prostatic abscesses (EPAs), but the most frequent causative organism is Klebsiella pneumoniae. Hypervirulent K. pneumoniae can disseminate to distant sites by forming a muco-polysaccharide network outside the capsule. Here, we present the first case of K...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Association of Urogenital Tract Infection and Inflammation
2024-12-01
|
| Series: | Urogenital Tract Infection |
| Subjects: | |
| Online Access: | http://euti.org/upload/pdf/uti-2448024012.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850070353262411776 |
|---|---|
| author | Seong Uk Jeh Min Sung Choi Chang Seok Kang Dae Hyun Kim Jae Hwi Choi See Min Choi Sung Chul Kam Jeong Seok Hwa Jae Seog Hyun |
| author_facet | Seong Uk Jeh Min Sung Choi Chang Seok Kang Dae Hyun Kim Jae Hwi Choi See Min Choi Sung Chul Kam Jeong Seok Hwa Jae Seog Hyun |
| author_sort | Seong Uk Jeh |
| collection | DOAJ |
| description | Various strains can be found in emphysematous prostatic abscesses (EPAs), but the most frequent causative organism is Klebsiella pneumoniae. Hypervirulent K. pneumoniae can disseminate to distant sites by forming a muco-polysaccharide network outside the capsule. Here, we present the first case of K. pneumoniae in an EPA accompanied by a spinal cord infarction. A 65-year-old man was referred to our hospital due to sudden-onset paraplegia after a 5-day history of fever, myalgia, and voiding difficulty. Abdominal computed tomography revealed a collection of air pockets in the prostate, and diffusion-weighted magnetic resonance imaging showed high signal intensity in the thoracic spinal cord. The patient was initially treated with antibiotics and surgical drainage. On the third hospital day, therapeutic heparin was added after discussion with a neurologist. The patient had no inflammatory symptoms, experienced some improvement in paraplegia, and was discharged on the 14th hospital day. This study adhered to the case report guidelines. |
| format | Article |
| id | doaj-art-bc783132afb24b5ebd23802df088b841 |
| institution | DOAJ |
| issn | 2465-8243 2465-8510 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korean Association of Urogenital Tract Infection and Inflammation |
| record_format | Article |
| series | Urogenital Tract Infection |
| spelling | doaj-art-bc783132afb24b5ebd23802df088b8412025-08-20T02:47:34ZengKorean Association of Urogenital Tract Infection and InflammationUrogenital Tract Infection2465-82432465-85102024-12-0119310410810.14777/uti.2448024012426Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case ReportSeong Uk Jeh0Min Sung Choi1Chang Seok Kang2Dae Hyun Kim3Jae Hwi Choi4See Min Choi5Sung Chul Kam6Jeong Seok Hwa7Jae Seog Hyun8 Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Institute of Health Sciences, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, Korea Department of Urology, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine, Institute of Health Science, Jinju, KoreaVarious strains can be found in emphysematous prostatic abscesses (EPAs), but the most frequent causative organism is Klebsiella pneumoniae. Hypervirulent K. pneumoniae can disseminate to distant sites by forming a muco-polysaccharide network outside the capsule. Here, we present the first case of K. pneumoniae in an EPA accompanied by a spinal cord infarction. A 65-year-old man was referred to our hospital due to sudden-onset paraplegia after a 5-day history of fever, myalgia, and voiding difficulty. Abdominal computed tomography revealed a collection of air pockets in the prostate, and diffusion-weighted magnetic resonance imaging showed high signal intensity in the thoracic spinal cord. The patient was initially treated with antibiotics and surgical drainage. On the third hospital day, therapeutic heparin was added after discussion with a neurologist. The patient had no inflammatory symptoms, experienced some improvement in paraplegia, and was discharged on the 14th hospital day. This study adhered to the case report guidelines.http://euti.org/upload/pdf/uti-2448024012.pdfprostatitisabscessembolismcase report |
| spellingShingle | Seong Uk Jeh Min Sung Choi Chang Seok Kang Dae Hyun Kim Jae Hwi Choi See Min Choi Sung Chul Kam Jeong Seok Hwa Jae Seog Hyun Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report Urogenital Tract Infection prostatitis abscess embolism case report |
| title | Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report |
| title_full | Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report |
| title_fullStr | Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report |
| title_full_unstemmed | Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report |
| title_short | Klebsiella pneumoniae-Induced Emphysematous Prostatic Abscess Accompanied by a Spinal Cord Infarction: Case Report |
| title_sort | klebsiella pneumoniae induced emphysematous prostatic abscess accompanied by a spinal cord infarction case report |
| topic | prostatitis abscess embolism case report |
| url | http://euti.org/upload/pdf/uti-2448024012.pdf |
| work_keys_str_mv | AT seongukjeh klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT minsungchoi klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT changseokkang klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT daehyunkim klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT jaehwichoi klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT seeminchoi klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT sungchulkam klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT jeongseokhwa klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport AT jaeseoghyun klebsiellapneumoniaeinducedemphysematousprostaticabscessaccompaniedbyaspinalcordinfarctioncasereport |